Most Relevant Information
Provider Data
| NPI Number: | 1003304536 |
| Provider Name: | MARLOWE GATES DIECKMANN |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | A157293 |
Most Important Dates
| Enumeration Date: | 04/30/2018 |
| Last Updated: | 09/02/2020 |
Provider Practice Location
1350 E MAIN ST
GRASS VALLEY
CA
959455208
Practice Location Phone/Fax
| Phone: | 5304778545 |
| Fax: |
Provider Mailing Location
1350 E MAIN ST
GRASS VALLEY
CA
959455208
Provider Mailing Phone/Fax
| Phone: | 5304778545 |
| Fax: |
Suggested EMR
Family Practice EMR